Dawn, Jennifer Phoenix

Dawn, Jennifer Phoenix is an individual health care provider with primary practice located at 1900 Lake Tahoe Blvd , South Lake Tahoe CA 96150-6305. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dawn, Jennifer Phoenix can be contacted via phone (530) 573-7970.

Contact Information

Primary practice address
1900 Lake Tahoe Blvd South Lake Tahoe CA 96150-6305
Phone: (530) 573-7970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26121 California

Profile Details

NPI number 1760614366
LBN Legal business name Dawn, Jennifer Phoenix
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2009
Last updated May 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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